Provider Demographics
NPI:1376996348
Name:KAPELS, JENNA LYNN (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:JENNA
Middle Name:LYNN
Last Name:KAPELS
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2108 TAYLOR AVE
Mailing Address - Street 2:STE 1100
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-4604
Mailing Address - Country:US
Mailing Address - Phone:402-371-7545
Mailing Address - Fax:402-379-0583
Practice Address - Street 1:2108 TAYLOR AVE
Practice Address - Street 2:STE 1100
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-4604
Practice Address - Country:US
Practice Address - Phone:402-371-7545
Practice Address - Fax:402-379-0583
Is Sole Proprietor?:No
Enumeration Date:2016-07-14
Last Update Date:2016-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1979225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist